About Me

I'm Mark Ralph, an independent advocate dedicated to helping injured workers in Alberta navigate the Workers’ Compensation system. While the system is meant to support recovery and provide fair compensation, it often feels complex, opaque, and adversarial. My role is to cut through that complexity by bringing structure and effective representation to those facing difficult claims.

I spent 12 years working inside WCB-Alberta, with progressive experience that spanned the entire claim lifecycle, from initial entitlement decisions to vocational rehabilitation planning and formal dispute resolution. My work included:

  • Claims management across a wide range of injury types and claim complexities, including psychological and psychiatric injuries, chronic pain, and long-standing claims requiring intensive support

  • Vocational Rehabilitation Specialist, where I assessed wage-loss supplement proposals¹, reviewed earning capacity estimates, conducted audits in a quality assurance capacity, and mentored case managers on policy application

  • Resolution Specialist with the Dispute Resolution and Decision Review Body (DRDRB), where I facilitated appeal hearings, evaluated decisions, and authored formal rulings on disputed claims

Since 2018, I’ve worked independently, providing claimant-focused advocacy rooted in deep policy knowledge, administrative fairness, and firsthand insight into how the system works.

My core areas of expertise include:

  • Psychological and psychiatric injuries

  • Severe or serious injuries², as defined by WCB policy

  • Complex entitlement disputes, including denials, benefit suspensions, and causation-related issues

  • Permanent disability claims, including both Permanent Partial Disability (PPD) and Permanent Total Disability (PTD) (under section 43(2) of the Workers’ Compensation Act

  • Permanent clinical impairment (PCI) assessments and awards, including enhancement factor

  • Recurrence of disability (re-opening claims for additional benefits or services following a deterioration), including s. 61 rate-setting

  • Concurrent conditions (non-compensable conditions that interfere with recovery from the compensable injury)

I also bring in-depth experience with:

  • Rate-setting issues and disputes

  • Vocational rehabilitation and earning capacity estimation

  • Various wage-loss supplement entitlements, including retroactive benefits (such as adjustments to existing supplements), ELPs beyond normal retirement age, TEL-to-ELP conversions, actual versus estimated earnings, and the suitability of deemed occupations when earnings are estimated by the Board

  • Causation arguments, including aggravation of pre-existing conditions and delayed diagnoses

  • WCB’s second injury policy, including the establishment of additional diagnosis responsibility

Beyond wage-loss benefits, I’ve helped clients access other entitlements such as:

  • Housekeeping and home maintenance allowances (HKA/HMA)

  • Personal care allowance (PCA), and other allowances reserved for severe injuries

  • Support for chronic pain and complex conditions, including pain syndromes such as Chronic Pain Syndrome (CPS), Somatic Symptom Disorder (SSD), and Complex Regional Pain Syndrome (CRPS)

My advocacy is grounded in integrity, accountability, and clarity. Clients benefit not only from my technical expertise, but also from a respectful, policy-informed approach that ensures their rights are recognized and their voices are heard.

After pausing my practice to pursue academic studies, I’ve now returned to full-time advocacy—bringing renewed perspective and the same commitment to helping Alberta’s injured workers move forward with confidence.

A Note on Identity

You may notice a discrepancy between my legal name and my appearance. As a trans person, I understand that my identity may be a sensitive or even polarizing topic for some. However, I encourage you to assess my qualifications based on my character, skills, and professional experience.

My focus remains firmly on delivering effective results, supported by clear, credible, and respectful communication. If you're seeking an advocate who deeply understands the system and approaches advocacy with professionalism, insight, and tenacity, I would be honoured to work with you.

Footnotes

¹ Wage-loss supplements refer to benefits that compensate for temporary or permanent loss of earning capacity resulting from compensable work restrictions. These benefits are typically paid monthly after medical plateau, when a worker’s restrictions and residual disability prevent a return to pre-accident employment, and their actual or estimated earning capacity is reduced as a result.

As a Vocational Rehabilitation Specialist, I reviewed and approved these wage‑loss supplement proposals prepared by case management—assessing both the suitability of the proposed job goal and the validity of the earning‑capacity estimate. When a worker had not yet secured post‑accident employment, WCB would often estimate (or “deem”) earnings based on the expected income associated with the proposed job goal. One of the most critical aspects of my role was determining whether this deemed occupation aligned with the worker’s restrictions, education, transferable skills, and labour‑market access—and whether it reasonably reflected their long‑term earning capacity.

Even when a worker was employed, part of the process involved ruling out underemployment (e.g., working below capacity due to unresolved barriers) before finalizing any earnings-loss estimate. This process is governed by WCB Policy 04‑04, Part II, Application 1 – Determining Impairment of Earning Capacity, which explicitly allows WCB to use estimated earnings when a worker is unemployed or underemployed after all reasonable vocational supports and job‑search efforts have been provided. The policy requires that the estimated earning capacity be based on suitable employment compatible with the worker’s restrictions and reasonably available in the local labour market, typically using wage data from sources such as ALIS occupational profiles.

The wage-loss benefit types include:

  • Temporary Partial Disability (TPD): An informal term commonly used to describe monthly wage-loss payments issued after medical plateau but before vocational plateau, when a worker’s long-term earning capacity has not yet been fully assessed. These payments are calculated monthly and serve as a provisional wage-loss supplement while entitlement to an ELP or TEL is being determined.

    Not to be confused with temporary partial disability benefits paid biweekly during medical recovery, which are governed under WCB Policy 04-02, Part I. Although both types of benefits fall under the same overarching policy framework, the monthly TPD described here is functionally distinct—typically issued after medical stabilization but prior to final vocational determination, and procedurally treated as a wage-loss supplement under Policy 04-02, Part II. In rare cases, similar payments may also be issued post-vocational plateau where ongoing uncertainty remains about employability or earnings capacity.

  • Temporary Economic Loss (TEL): A benefit of moderate duration awarded when post-accident earning capacity is expected to recover within six years; effective January 1, 1995.

  • Economic Loss Payment (ELP): A long-term benefit awarded when permanent restrictions reduce post-accident earning capacity for a period anticipated to exceed six years; effective January 1, 1995.

  • Earnings Loss Supplement (ELS): A top-up for pre-1995 PPD pensions, awarded when the pension does not fully compensate for the ongoing loss of earning capacity caused by the compensable injury.

Permanent disability awards (pensions) are distinct and only apply to claims with a date of accident prior to January 1, 1995. A PPD pension compensates for PCI and the assumed long-term loss of earning capacity associated with that impairment, including limitations on work capacity. A PTD pension provides compensation at the full disability level and is typically based on 90% of the worker’s annual net earnings, continuing for life unless revised due to a change in condition or fraud.

PTD status, however, may still be granted on claims with a date of accident after January 1, 1995: while it does not result in a lifetime pension, it may result in a full-lifetime ELP, calculated at the full disability level, and exempts the claim from retirement-related reductions if the criteria are met. PTD status may be granted if the worker meets one of the presumptive conditions in s. 43(2) of the WCA, or if WCB accepts PTD status based on similar severity to one of the presumptive conditions.

² WCB Policy 04-07, Part I defines severe injuries as including spinal cord injuries, severe burns, moderate to severe brain injuries, major amputations, significant respiratory conditions, total loss of vision, terminal cancers, bilateral arm or leg fractures, and other injuries of comparable severity.

WCB Policy 04-10, Part I defines serious injuries as including rotator cuff tears, ruptured discs, severe ankle or wrist fractures, severe knee injuries (e.g., torn ACL), and other injuries of similar severity. Most soft tissue injuries are not considered serious unless unusually severe.

³ s. 43(2) of the WCA presumes PTD in cases where a worker has sustained:
(a) total and permanent loss of sight in both eyes;
(b) loss of both feet at or above the ankle;
(c) loss of both hands at or above the wrist;
(d) loss of one hand at or above the wrist and one foot at or above the ankle;
(e) injury to the spine resulting in permanent and complete paralysis of both legs, both arms, or one leg and one arm; or
(f) injury to the central nervous system resulting in mental incompetence rendering the worker incapable of being gainfully employed.